Individual provider Active NPI

Jose Bordon, MD

  • Infectious Disease Physician
  • Washington, DC
National Provider Identifier
1174550701
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD33630 Issued in DC
Practice address
1140 Varnum St NE Ste 203
Washington, DC 20017-2153
Phone
(202) 525-5175
Fax
(202) 450-6088
NPI assigned
Jun 27, 2006
Reactivated
Feb 14, 2022
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD33630 DC Primary

Addresses

Primary practice location

1140 Varnum St NE Ste 203
Washington, DC 20017-2153

Mailing address

1140 Varnum St NE Ste 203
Washington, DC 20017-2153
Phone (202) 891-7872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041221000482 DC Practitioner - Infectious DiseasePractitioner - Internal Medicine 7416915517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Health InstituteGroup PAC ID 1456696368, 18 clinicians

Practice addresses (Care Compare)

1140 Varnum St NE
Suite 203
Washington, DC 20017-2153
Phone (240) 426-8890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD33630DCMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Health Institute Infectious Disease Current Accepting new patients
Washington Health Institute Infectious Disease CurrentSince Dec 15, 2018 Accepting new patients
Whi Community Pharmacy Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Washington Hospital Center Corp Past Accepting new patients

Locations

1140 Varnum St NE
Ste 107
Washington, DC 20017
Phone (202) 635-1330

1140 Varnum St NE
Ste 203
Washington, DC 20017
Phone (202) 525-5175

1330 New Hampshire Ave NW
Ste 121
Washington, DC 20036
Phone (202) 463-0220

8630 Fenton St
Silver Spring, MD 20910
Phone (301) 565-0222

8630 Fenton St
Ste 230
Silver Spring, MD 20910
Phone (301) 588-2525

8630 Fenton St
Ste 700
Silver Spring, MD 20910
Phone (301) 587-1992

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDGCD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1174550701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE STE 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172153",
            "telephone_number": "202-891-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE STE 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172153",
            "telephone_number": "202-525-5175",
            "fax_number": "202-450-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDON",
        "first_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "deactivation_date": "2022-01-31",
        "reactivation_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "DC",
            "license": "MD33630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.